West Virginia Clinical and Translational Science Institute, Robert C. Byrd Health Sciences Center, Morgantown, West VirginiaDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia

West Virginia Clinical and Translational Science Institute, Robert C. Byrd Health Sciences Center, Morgantown, West VirginiaDepartment of Microbiology, Immunology, and Cell Biology, West Virginia University School of Medicine, Morgantown, West Virginia

West Virginia Clinical and Translational Science Institute, Robert C. Byrd Health Sciences Center, Morgantown, West VirginiaDepartment of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia

West Virginia Clinical and Translational Science Institute, Robert C. Byrd Health Sciences Center, Morgantown, West VirginiaDepartment of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia

↵b Cumulative score determined by the five components of the MetS (waist circumference, blood pressure, fasting glucose, and circulating triacylglycerol and HDL‐cholesterol), as well as nutritional status, physical activity, ethnicity, family history, and current medication use. Scores ranged from 1 to 7 on a 12‐point scale. Increased scores are indicative of increased risk for developing the MetS.

Table 2.Anthropometric and blood pressure measurements before and after intervention.a